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Whether you are a therapy office looking to have a better understanding of
the billing process, an established billing service looking to expand your billing specialties or a new biller trying to get
started in the field of therapy, this book will give you an introduction to the "ins and outs" of therapy
billing.
Topics That We Cover In Detail:
 The Credentialing Process - the pros
& cons of credentialing, obtaining & tracking applications, & what If you are denied
enrollment?
Commercial Insurance
Carriers
Steering Clear of Fraud
Example Forms - required forms
for billing, HIPAA signature release, intake sheet, workers comp & auto accident intake sheet
Examples of superbills for PT, OT, and
ST
Understanding Authorizations and
Referrals
Submitting & Tracking Claims,
Secondary Claims, and Tertiary Claims
What do you do when you don’t hear
anything on a claim?
Using Modifiers
NPI #s, PTANs, UPINs, EINs, SS#s,
& Other Confusing Numbers
Common CPT, ICD9, ICD10, and Taxonomy
Codes
Claims for Workers Comp, Auto
Accident, Medicare, and Medicaid
Experimental & Investigational
Treatments
Modalities
Insurance Payments, Patient's Portion,
& Denials
Steps to Take For Hiring Office
Help
And SO MUCH MORE!!!
What Others Are Saying!
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Hi Alice & Michele,
I would like to let you ladies know how helpful and great your books are. It is truly a blessing to have
individuals who have been in the industry for a long time and who is successful in the business to share
their knowledge, as well as the mistakes you have made along the way so that the new business owner will not
make the same mistakes. You ladies are great and you will have continual success because you do not mind
sharing and helping others in this industry to succeed. Once again thank you so much for being the ladies
that you are!!!!
Danielle Dukes - Physician First Practice Management
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Hi Alice and Michele,
I just finished your newest book titled “Pricing Your Medical Billing Service”. Your book is very timely
with all the debate about the best (or legal) way to charge for your medical billing services. Despite
owning a medical billing business for over 18 years, I still wrestle with charging our doctors on a
percentage basis (which is how most of our accounts are set up) VS a fixed monthly fee. You make a
compelling case for choosing the latter.
Pricing Your Medical Billing Service is a great resource for a new billing service or anyone who is
struggling between the different billing options, especially those who have clients in the states that you
mention who do not allow percentage billing.
Sincerely,
David Keenan
http://www.EverythingMedicalBilling.com
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